A Simplified Method of Esophageal pH Monitoring for Assessment of Gastroesophageal Reflux

We have found that 24-hour esophageal pH monitoring is clinically useful in the evaluation of reflux-related symptoms but that the application of this diagnostic tool is limited by lack of simplicity and easy portability of equipment, a time-consuming method for data analysis, and the necessity to h...

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Veröffentlicht in:The Annals of thoracic surgery 1983-11, Vol.36 (5), p.596-603
Hauptverfasser: Choiniere, Louise, Miller, Linda, Ilves, Riivo, Cooper, Joel D.
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container_end_page 603
container_issue 5
container_start_page 596
container_title The Annals of thoracic surgery
container_volume 36
creator Choiniere, Louise
Miller, Linda
Ilves, Riivo
Cooper, Joel D.
description We have found that 24-hour esophageal pH monitoring is clinically useful in the evaluation of reflux-related symptoms but that the application of this diagnostic tool is limited by lack of simplicity and easy portability of equipment, a time-consuming method for data analysis, and the necessity to hospitalize patients for the study. We have resolved the first two problems with the development of a lightweight, portable, solid-state system for recording and analyzing the data. To assess the feasibility of utilizing an 8-hour study applicable to outpatients, we studied 30 unselected patients referred for 24-hour pH monitoring. We separately analyzed the data from the first 8 hours of the study and the data from the entire 24-hour period. The correlation between the results obtained with each analysis was excellent, indicating that the 8-hour study can be used to quantitate reflux accurately. An 8-hour outpatient protocol was developed and applied to 25 healthy volunteers to determine the normal range of values. From this, a simplified scoring system was created for assessing the results of 8-hour pH studies.
doi_str_mv 10.1016/S0003-4975(10)60691-1
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
Ambulatory Care
Biological and medical sciences
Data Display
Diet
Esophagus
Female
Gastroenterology. Liver. Pancreas. Abdomen
Gastroesophageal Reflux - diagnosis
Humans
Hydrogen-Ion Concentration
Male
Medical sciences
Microcomputers
Monitoring, Physiologic - instrumentation
Other diseases. Semiology
Time Factors
title A Simplified Method of Esophageal pH Monitoring for Assessment of Gastroesophageal Reflux
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